A nurse in a community health center is counseling a group of clients who are currently experiencing partner violence. Which of the following strategies is the priority for the nurse to include in the counseling?
Developing an escape plans.
Using stress management techniques
Identifying a primary support person.
Providing referrals for legal counseling.
The Correct Answer is A
A. Developing an escape plan: Ensuring the client's immediate safety is the top priority in cases of partner violence. Creating a personalized and practical escape plan can help the client prepare for a quick exit during a dangerous situation, potentially preventing serious harm or fatality.
B. Using stress management techniques: While managing stress is important for mental health, it does not directly address the urgent physical safety needs of someone in an abusive situation. It is better suited for long-term recovery rather than immediate intervention.
C. Identifying a primary support person: Having emotional and logistical support is helpful, but it is a secondary step after ensuring safety. In some cases, reaching out to others without a plan may even increase risk if not done cautiously.
D. Providing referrals for legal counseling: Legal support is essential in the long term to address restraining orders, custody, or separation, but it should follow immediate safety planning. Legal action without safety precautions could escalate the abuse.
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Related Questions
Correct Answer is C
Explanation
A. Develop content appropriate to learner needs: Developing content is a subsequent step. To create truly appropriate content, the nurse first needs to understand what the target audience (young adults) already knows, what their misconceptions are, and what specific information they need and are interested in.
B. Arrange for computer-assisted learning: This is a strategy for delivering the education but not the first step. It should come after identifying learner needs and planning content accordingly to ensure effectiveness.
C. Collect data to identify learners' current knowledge base: This is the first and most critical step. A needs assessment allows the nurse to tailor the program to the audience’s existing knowledge, misconceptions, and educational requirements, ensuring that the intervention is relevant and impactful.
D. Identify topics with health department nurses: Consulting other professionals is helpful, but the initial step should focus directly on the target learners to ensure the program meets their specific needs.
Correct Answer is B
Explanation
A. Cross legs at the ankles: Crossing legs, even at the ankles, can increase the risk of hip dislocation following total hip arthroplasty by placing stress on the joint and is generally discouraged during recovery.
B. Use an elevated toilet seat: An elevated toilet seat helps maintain hip precautions by preventing excessive hip flexion, reducing dislocation risk, and promoting safety and comfort during toileting.
C. Take baths instead of showers: Baths require more hip flexion and increased risk of falling, so showers are preferred postoperatively to minimize hip strain and improve safety.
D. Use a walker on the stairs: Using a walker on stairs is unsafe due to limited maneuverability; crutches or a cane are usually recommended for stair navigation during hip recovery.
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